HomeMy WebLinkAboutBldg Permit 01-1363
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT tt=r' ~i
&nv
~. F~~!w ~:IiJi~~ PERMIT NO.
(Please type or print and siltll at Lu ..u~)
ADDRESS . I II ?S--
11J{)~. ,~f.
LEGAL DESCRIPTION (office use only)
1'0- ,
LOT t.J BLOCK ~ ADDITION Deu~
OWNER
(Name)
(Address)
BUILDER ^ r1 I L A-.. _ n
(Name) lJl}C- ~ ~ <
(Contact Name) Sh.vtJ tv,'cb4Y!
(Address) 8&,0 KtA1b - ~ 61-. ":iIOO
.
TYPE OF WORK
o Misc.
tl"N ew Construction
OLower Level Finish
11- ~ -() I
-/3fa3
ONING (office use)
R/
..../);"'i'i;,\)lxrH 5- 370- () 3'-1--'0
(Phone) .
(Phone) !JJ!s-7BDB
(Phone) -.!J5a 'JJ." -,33'-1
ODeck
OPorch
OAddition
ORe-Roofing
ORe-Siding
OUtility Connection
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am a e that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the prop rform needed inspections. .. / ~
X r t'Jdu..lo ,2,;1J/)b/,S7 /I ~q fa /
I. Contractor's License No. ' Date
V
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
OAlteration
o Fireplace
PROJECT COST IV ALUE (excluding land) $ I q 3, ~ 20,
I
18S,CCC>.oo
$' I'" #
,'15"8. ~.:::::>
$ q~~ .O(p
$ a -
-, I . 50
$
$
$
$
$
/00.00
tOO.<9 C>
~S',~-o
(II) ,.c9(!)
tion I! 1comes Your Building Permit When Approved
ol t "'- L q -01
Date \
I Park Support Fee
I SAC .-
I Water Meter Siz~; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
Other
#
#
#
#
$ 8SlJ.oO I
$ I~ I ~O . clf' I
'.
$ /;;,SI06
$ 'l...e:;-. a.o
$ 1,2af).eT.)
$ tOO,c5)eJ>
$(. SOD.cO
$ .
I Paid ((3 e::rs: b i
I Date I 7/111 ,() J
ac"" J
\ $8;343. (PI
'f
Receipt~11 d r
By /IV
f'
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
=~TC~-CatiDn~;];;';7'_md-'Z:"A:;~6::=-~
, PI~Director Date '- -' ~C~al Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372 ~
TOTAL DUE
White - Building
Canary - Engineering
Pink - Planning
Th. ("tnln of Ih. I..k. ("ouolry
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
bf\ t&L~
/ {- dG --0 1
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which {s proposed at:
/ 11 ~ Oll I ~ -P.fA /ydJ(() /.0J
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
I/ItJB
Date:
1!-30-DI
Comments: See Reverse Side for Addition:i;lIlnformation!
~ee Attachments: 1) Grading Plan,. 2) Erosion Control Measures
3) Erosion Control Plan
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall notbe valid."
tff\
Th~ ("~nl~r of Ih~ Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
b R t.-~
(l-;)/P-o !
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activi y which {s proposed at:
LI7~ oil .~d) /J2AJ
. I
Accepted
Accepted With Corrections ><
Denied /'"'...
Reviewed By J.JJ ~f
~;&ts:
Date: 11-21-01
~Q~
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Th. etnter or the tok< Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
.---.---- -'"
NAME OF APPLICANT
APPLICATION RECEIVED
i'" /,\
L, ! ',_
i
II
I .. --.-".
I
II -~)O /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which ls proposed at:,
r" /,
/ 17~ / ..) j /~j) (J~/ /'.t.-/~~
i
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~J~
Date:
[1 /;3{)/6J I
Comments:
~JI ~~ 'Jt{ y.. ~ , .. af-Ylo
~ -~,'t- ~~ .~~t,OiW ~
~V Uvll\ ..
- -
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
16:34 651 633 8884 _......... ~p~E.:t~!_'2.0~!~_ #1521 P.OO4l006
REA 111 iGI AIR CONDllIONING, r I.J.(EPLACE PERMIT
~:::.. ~~ 'PERMIT NO'O/--/3~3
~. 'I'oI1oow ""'lant
(PlaIe ~ or"rin.t 1ZU1_ atll. ~.. ..)
ADDRESS ZONING (llfIR_l
!7J.t;q /)~~~ '2k..,;,..~
LEGAL DESClU.r l.l.0N (c!fftee use only)
LOT BLOCK ADOmON
OWNBR ~ . J
(Nune)_ 'V~ ~
PlD
(phone)
, (Addrr::ss)
APPUCANT
(Name) ALLIED FI:RE:S:rOE DBA FIlU:IS:tDE CORNBR'
(phone) 651.-633-~
ROSl!VTT~r,'R '4T
(cir,y)
(Phone). 651-633-2561
DATE
I:;~l , ~
(Zip Code)
(Add.rcss) 2700 N. FllIRVIEW AWNUE
(Addres.)
(C' P ) BRENDA ROS'I.'ON /) /
on.taCt . et50D //
_ APPLICANT SIGNATURE _~~~.:.-
;
" APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 AL TBRA TIONS
FURNACE MAKE A-ND MODEL . FUEL
FLUE $J.ZE RETl.1RN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
~wum AJr Plants
Gravity
Mechanical
Air Conclltioni~.
Vent SyBtllm
iL- tJ C~
HEATING OR POWER PLANT
:J S<<eam
::J Hot Will_
J R.8dlptjan
::J Special Devices
:J cUter Devl~s
S,- p1>7;e.-G.
PLEASE NOTE:
Air Conditioner Units
CiUJDot En!;l'OltCih into
lUquirad Side Yard
!<<backs
FlREPLACE MAKE AND MODEL
Industrial, Comrnerclal III Multj.Fmnlly
Residential. HOIItlng /1l. Ale (New Consuw:tfon)
Residential, Heating Only (New ConstnLCtion)
FEE SCIf.EJ)ULE
J % of job cost ltc:sldcntllll. (illS f'ilq'llIQC
$39.50 minimum
$99.50 Reslden.ti.I. Additions III Alr.eradons
$64.50 Residential. AC Ol1ly
$39.'0
$39.50
539.50
Es1:i.m.ated Colt $ Building Permit #
O/~/3&3
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMlT FEE S
so r- PAlO wnH
. BU\LD\NG PERM\T
(omu l!llll Only)
This AppUeatfon Beeometl Yoar Buildln. Permit When Approved
BII"d'", Otftclll'
Datil
p~
DftB 2 0 2002
}tcceipt~
~ fj(J
By fJ--
~4 hoar netic. ror .11 h1IlPllctfDR. (95%) 447-9850, nUl (952) 447..47.45
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please tvDe or mint and sign at bottom)
ADDRESS
11WL~ l)ejj~fjd Dr
~. ~ir::n ~!;y PERMIT NO. 01- 13/3,
3 . Yellow Applicant t7
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT 4-BLOCK 3 ADDITION
PID
~=~R b.K. HOY'--(')V1
(Address) 21J81oD /!P.Llbn'd@81l- U-LkLVLfJ.e .5"5D1JJ..j
~;~;rANT A II i ant M e~aV\ i (1_G\. \ InL (Phone) u5/- 45" 01- &775
(Address) 3~ 50 I~Vlnebe~ J)r. [o.C{Qn 66/ d ~
(Address) (C~) (Zip Code)
(Contact Person) ~ e...rrZi mrnerman '1 '(Phone) X c:201
APPLICANTSIGNA~}~- (l ~ATE -J2-b4l()(.
APPLICANT PLEASE COMPLETE BELOW
lXJNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL ~r~~Y\-t 9:< % FUEL "-.Jot. Ga s
FLUE SIZE o? Y1- DaI~ RETURN OPENINGS INPUT /CV,{)O 0 OUTPUT 80, ChHJ
,
TYPE OF SYSTEM
, (Phone)
HEATING OR POWER PLANT
DWarll:! Air Plants
DGravity
o Mechanical
&Air Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi,Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ 1000. ()-D Building Permit #
(Office Use Only)
This Application Becomes Your Building Permit When Approved
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
p~\O W~RtA\"--,
au\\S)\NG
..
Paid
Receipt No.
Date
I By
Building Official
Dote
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Dec. 4. 2001 12:14PM
GENZ RVAN PLUMBING AND HEATING
No.753o p. 3/3
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND W Al!J.K PERl\'UI
JP1c:ase type: orwlDt m4 sip'/tt b~,~_)
ADDRESS
(120 U ~e~q(/ f) fJ t1e
i ~ ~6-t I PERMIT NO. (J / -/3f03
ZONlNG (~l1Se)
~-e-
LEGAL DESCRIPTION (office use: only) .
LOTL-l BLOCK ,~ ADDITION <J), eLfi ~J)
PID
OWNBa
(Name) n~ ~Q;(t"T' r".. '1't<.>;q lrlQmfl~
(Address) 3459 Wash1ng1:on Dr Ste 20'4
(.Address)
(.phone) 6.5l-'t.5.(, 46&:.:
Eagan, MN 55122
(City) (Zip Code)
APPUCANT
(N~~ Genz-Ryan Plumbin~ & Hea~ing
. .
(Phone) 651-423-1144
(Address) 14745 So Robert Trail
(A~)
Rosemount. MN 55068
(Gty) (Zip Coda)
(Contact Person) Mary Olson t_ nl ,,1 /" \ (phone) 651-423-1144
""LICANT SIGNATURE 1 A A D ~ DATE l2-1 4' D I
. . AP~LI~:E COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
E.stimated length of sewer line feet.
Clean out (if required) located at feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE Sl.:J:1.ltuULE
S35.50 Industrial, Com'1 & Multi~fam.ily 1% otjob cost with a $39.50 m.iuiJ:num
$17.50 Wate.r connection only $17.50
Estimated Cost $
Building Pe.mrit #
OI-/3(P3
---PA\D~
, 50 '9u\U)\NG PERMrr
~ !
.r'
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $ .
TOTAL .r:.II.AMIT FEE $
(Office Vse OQly)
Thl. '\,pl~o.r B>DI:';":; j:'~'1 '\PP""~
BuDdIng om&:ial nab:
I Paid
Date -
I Receipt No.
I By
,
L. ,.'
14 hour noti~ for lilt inllPmct.ions (952) 447-9850, {IIX (9SZ) 447-4]45
2001 12:14PM
GENZ RVAN PLUMBING AND HEATING
No.7530 P, 2/3
Date Rec'd
L1T i OF PRIOR LAKE PLUMBING PERl\fiT
I....... lite PERMIT NO
%. (laid Citr '01-131-3
3, 'folia", /opplianl IC7
(Please ~c: Qrprint and. sign atov__)
ADPRBSS - .
\\7D~ ~~eID ~ ~F_
ZONING (ofti.c:c: use)
LEGAL DESCR.J.t:- uON (office use only)
LOT 4 BLOCK ~ADDmON~ () R___fk~
PID
OWNER
~~~ DR Hotcon Custom Homes
(phone) 651-454-4663
(Address) 3459 Washington Dr Ste 204 Eagan, MN 55122
APPUCANT
(Na1J:le)...G"'n.,._~:,:, "~,,~1-.';"'g ~ If'H.rillg (phone:) 61:\1 6?~_1 W.
(A~e~)14745 So Robert Trail Rosemount MN 55068
'(Acl.dre:ss) (City) (Zip Code)
(C"""""P",,OIl) Mary Olson I f_", rJ b; ~ (Phone) 651-423-1144
I APPLICANT SIGNATURE \ A b~ l.;} - DATE .f ~1lf
AP~CAN'!'.E ~OMl'LETE BELOW
Quantity Type of Fixtoxe Quau:tity I Type of Fixtun
2- Bath Tub with or without shower ..~ I Rough-ins
I I Dishwasher 1 I WateX' Heater
\ i Floor Drain I Warer Softner ~l
5 1 Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I I Laundry Tray (1 or 2 compartment sink Sewage Ejector
I Shower Staii Backflow Assembly
f Sinks I Backflow Assembly Test
I Bar Sink I Lawn Sprink1er
~ I Water Closet (Toilet) I Other .
FEE S~.w.;DULE
Ind1Jstnal, ColX).D;),etclal &: Mu1tJ~famlly 1 % ofJob cost with a D9..50 minimum Residential, New One:: &; Two.Family S99..:50
Residential, Additiorul &: Al....-:ons $39.50
Estimated Cost $
Building pmnit#
1)/- 13"3
r;;' ~
5o~PEflMrr }
PLUMBING PERMIT .t'.t=.b $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Offiee Use Only)
Thu APp];VJ"J.r~ y ~ BuDdmg 7;; 7i=' ;iV<d
:8.e Oftic:.ial Dam
Paid
Dato
I RecciptNo.
I By
24 hour notice for all inspections (952) 447.9850. fax (951) 447-4245
P R I 0 R LA KE DEPARTMENT OF
, 'BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS It? :2.oc.f De.er(;'e!cQ Dr-
NATURE OF WORK ~
USE OF BUILDING FlJ
PERMIT NO. () 1 -' /~ DATE ISSUED l' - 2"( -0 I
CONTRACTOR )), R ~ PHONE 9S2..2~t.,-r~s4
I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
t FOOTING I fA 1,2.} Jq fa I
t FOUNDATION (Prior to Backfill)f~ I.e' 4. /Z!L! !Ol 1 fJ,.. ) 2./ 3dD'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
fj+.) "
. (1;;r.
~:
A
~<
I '~
~
/ti. . :?'/l.t/b~
wr . I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
INSPECTOR
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING L..L. U ~L 4~
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
~lDt!dJ;-
GRADING (Prior to Sodding)
BUILDING 1: el(j, -tJJ ?It jil7-- IS-:;-
ELECTRICAL
PLUMBING
HEATING
DO NOT
~ iJ-t. /b 2.--
/7
~.
/6r,
I
OCCUpy UNTIL ABOVE HAS
NOTICE
DATE
/ It 0 1~""2-
'3/,l!fJL
.3/J~/ ()~
I ·
3/~/t>Z,
.3/1 I /a?"
3J 1 l'j 0 "Z.-
-$'/o~ loa
jt,/d-'~~
BEEN SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections hav~ been9approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECT;ONS (952) 447*9850
---
~ ,
ADDRESS
/~2dI
DATE TIME
SCHEDULED ~- ;2h~~-LI'
.
fl:.~ [)Y'
PERMIT NO. / - ('3 (. 3
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING
o FOUNDATlON@DMECHRI 0 COMPLAINT
o FRAMING '. ( 0 WATER HOOKUP 1B tJ FIREPLACE RI
.-Q. I~SULA TION"" 0 SEWER HOOKUP . )( FIREPLACE FINAL
~NAL IJS\ 0 PLUMBING FINAL 0 GASLINE AIR TST
o SITE INSPECTION ~}iO MECH FINAL 0
COMMENTSaJ II tU.f? !dJ:, d htT1 ~
~~,~-ffj~~
.l.~)J I ~ () IUA ~ f-~ 9 .Ch ~. '1--..
. I .
1:(1:..". 8;~
J1, ... . II
{h4A1- ~
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~~ Owner/CoW.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI
DATE' TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/')-'40/
SCHEDULED sf2/0'Z.. /1: YtJ
~,&,
I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(')/ - 13'~
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING ~ 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL J6. PLUMBING FINAL 0 GAS LINE AIR TST
o SITE INSPECTION 0 MECH FINAL 0
COMMENTS~ fl-oJ ~
@ ~-~ ~ +l WI H-,
~ - t:I~
~~~,
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'"pedO" ~ Owo.,lCoolc
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl
INSNOTl
A
-
-----
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor ~r
~
Name of Tester
Date
Job Address
Heating Contractor
Name of Tester
Date
Percent 02
Percent CO
Percent C02
Stack Temp
lHw-1:.JI
~~~--,.
~.
~
~~
.,-,.
Combustion air is adequatel
UMC Sec. 606
input
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS /7 ).0,/
~e(rr't lei
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
cJiI' CI~I Il.L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(7r-..rh.. (9 {L
CJ/~ ~dr/ e L
DATE TIME
j-IL/-oY
f)t.
j) ((- Ho I bY'
6 !--+:~&)
~RADfEii.L1NG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
5t1-i
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpectorP~,
_ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNOTl